CN101162531B - Method and system to monitor hand hygiene compliance - Google Patents

Method and system to monitor hand hygiene compliance Download PDF

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Publication number
CN101162531B
CN101162531B CN2007101635897A CN200710163589A CN101162531B CN 101162531 B CN101162531 B CN 101162531B CN 2007101635897 A CN2007101635897 A CN 2007101635897A CN 200710163589 A CN200710163589 A CN 200710163589A CN 101162531 B CN101162531 B CN 101162531B
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reader
dispensing device
incident
event number
enter
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CN101162531A (en
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安德鲁·格雷厄姆·萨于德
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Allegheny Singer Research Institute
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Allegheny Singer Research Institute
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    • GPHYSICS
    • G08SIGNALLING
    • G08BSIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/18Status alarms
    • G08B21/24Reminder alarms, e.g. anti-loss alarms
    • G08B21/245Reminder of hygiene compliance policies, e.g. of washing hands

Abstract

A system which allows healthcare providers to monitor hand hygiene compliance includes a data reader adapted to be worn by a healthcare provider. The system includes a portal trigger disposed at each door portal of a patient room which activates the reader to record an entrance event when the provider enters the patient room. The system includes a dispenser trigger disposed at each cleaning dispenser having cleanser in or at the entrance of each patient room which activates the reader to record a dispensing event when the provider causes the dispenser to dispense cleanser, the reader having a display which displays a number of dispensing events and a number of entrance events. A method which allows healthcare providers to monitor hand hygiene compliance. A system which allows a person to monitor hand hygiene compliance. A method for allowing a person to monitor hand hygiene compliance.

Description

The method and system of monitor hand hygiene qualification
Technical field
The present invention relates to the monitor hand hygiene qualification.More particularly, the present invention relates to come the monitor hand hygiene qualification by using recording trigger to enter and execute to join incident.
Background technology
Hospital infection and related complication are great burdens to patient, doctor and health care system.Implemented many proposals and dealt with these problems, yet fundamentally, hand hygiene is still the most effective a kind of approach that infects of propagating.According to estimates, the healthcare provider of 35-40% is obeyed the hand hygiene stipulations of generally acknowledging.
Need a kind of simple, trace tool of washing one's hands of being easy to adopt, be difficult to perceive and can provide real-time feedback.
Summary of the invention
The present invention relates to a kind of system that allows healthcare provider monitor hand hygiene qualification.Described system comprises and is suitable for the data reader worn by healthcare provider.Described system comprises the inlet trigger of each porch that is arranged on the ward, and it activates described reader and enters incident with record when described care-giver enters described ward.Described system comprises in the import that is arranged on each ward or the dispensing device trigger at each the cleaning dispensing device place with detersive of inflow point, it activates described reader and executes with record and join incident when described care-giver impels described dispensing device to execute to join detersive, described reader has display, and described display shows to execute and joins event number and enter event number.
The present invention relates to a kind of method that allows healthcare provider monitor hand hygiene qualification.Said method comprising the steps of: when described care-giver entered described ward, the inlet trigger 14 of each porch by being arranged on the ward activated the data reader and the record that are suitable for being worn by healthcare provider and enters incident.Have following steps: when described care-giver impelled described dispensing device to execute to join detersive, the dispensing device trigger at each the cleaning dispensing device place with detersive of the inflow point by being arranged on each ward activated described reader, and record is executed and joined incident.There are following steps: on the display of described reader, show to execute and join event number and enter event number.
The present invention relates to a kind of system of permission one personnel control's hand hygiene qualification.Described system comprises and is suitable for the data reader worn by described personnel.Described system comprises the inlet trigger of each porch that is arranged on the lavatory, and it activates described reader and enters incident with record when the care-giver enters described lavatory.Described system comprises the dispensing device trigger that is arranged on each the cleaning dispensing device place with detersive in the described lavatory, and it activates described reader and executes with record and join incident when described care-giver impels described dispensing device to execute to join detersive.Described reader has display, and described display shows to execute and joins event number and enter event number.
The present invention relates to a kind of method of permission one personnel control's hand hygiene qualification.Said method comprising the steps of: when described personnel entered described lavatory, the inlet trigger of each porch by being arranged on the lavatory activated the data reader and the record that are suitable for being worn by described personnel and enters incident.There are following steps: when described personnel impel described dispensing device to execute to join detersive, activate described reader, and record is executed and joined incident by the dispensing device trigger that is arranged on each the cleaning dispensing device place in the described lavatory with detersive.There are following steps: on the display of described reader, show to execute and join event number and enter event number.
Description of drawings
In the accompanying drawing, the preferred embodiments of the present invention are described and put into practice the preferred method of the present invention, wherein:
Fig. 1 is the synoptic diagram of system of the present invention.
Fig. 2 is the synoptic diagram of system of the present invention.
Fig. 3 is the synoptic diagram about the system of the present invention of key.
Fig. 4 is the synoptic diagram of described system applies in the lavatory.
Fig. 5 is the block scheme of system of the present invention.
Embodiment
Now referring to graphic, wherein among each figure all same reference numerals representation classes like or identical parts, and more specifically referring to Fig. 5, its display systems 10, described system 10 allows healthcare provider monitor hand hygiene qualifications.System 10 comprises and is suitable for the data reader 12 worn by healthcare provider.System 10 comprises the inlet trigger 14 at each inlet 16 place that is arranged on ward 18, and it activates described reader 12 and enters incident with record when described care-giver enters described ward 18.System 10 comprises in the import that is arranged on each ward 18 or the dispensing device trigger 20 at each cleaning dispensing device 22 place with detersive of inflow point, it activates described reader 12 and executes with record and join incident when described care-giver impels described dispensing device to execute to join detersive, described reader 12 has display 24, and described display 24 shows to execute and joins event number and enter event number.
Preferably, described the executing of described display 24 demonstrations joined event number and the described ratio that enters event number.Described display 24 preferably shows described ratio simultaneously, describedly enters event number and described executing joined event number.Preferably, described reader 12 comprises lock 26, and it joins event number, the described access that enter event number and described ratio with control to described the executing of being write down by described reader 12 by described care-giver's control.Described dispensing device preferably comprises lever 28, and described dispensing device trigger 20 is engaged to described lever.
Described lock can be similar to and need be input to reader to allow the Crypto Control Unit access mode of care-giver's access reader, and this is similar to the Crypto Control Unit access mode that Windows operating system provides.
Preferably, reader 12 will be described be executed after at the fixed time and is joined event number, describedly enters event number and described ratio is reset to zero.Reader 12 preferably comprises storer 30, and described the executing of its storage joined event number, described event number and the described ratio of entering.Preferably, reader 12 comprises timer 32.Reader 12 preferably comprises CPU34.
Preferably, reader 12 is parts of label or pager 36.Trigger preferably has transmitter 38 and receiver 40.Preferably, reader 12 has transmitter 38 and receiver 40.Storer 30 can externally be inquired in the electronics mode.Preferably, only when entering described ward 18, described reader 12 enters incident.Preferably, only may exist be associated with an incident of entering at the most two execute and join incident.Preferably, reader 12 is when the incident of entering or execute and enter initiate mode when joining incident, enter state of activation when joining incident when described reader 12 is in described initiate mode and enters incident or execute, and enter done state when joining incident when described reader 12 is in state of activation and executes.
Described dispensing device trigger 20 preferably has the position of enabling and active position; Owing to and enter described initiate mode according to described reader 12 and enter the position of enabling on the described dispensing device trigger 20; Execute the active position that arrives when joining incident on the described dispensing device trigger 20 when described dispensing device subsequently.Preferably, system 10 comprises and is suitable for the excessive data reader 12 worn by extra healthcare provider, and wherein each reader 12 only writes down executing of being associated with the care-giver with corresponding reader 12 and joins incident.Whenever described dispensing device has when executing of opening that the beginning executes that the care-giver's who joins incident reader 12 is associated joined incident, described dispensing device is preferably launched key.Reader 12 and trigger can use RFID to communicate with one another.Perhaps, reader 12 and trigger can use Bluetooth technology or other wireless technology to communicate with one another.
The present invention relates to a kind of method that allows healthcare provider monitor hand hygiene qualification.Said method comprising the steps of: when the care-giver entered ward 18, the inlet trigger 14 at each inlet 16 place by being arranged on ward 18 activated the data reader 12 and the record that are suitable for being worn by healthcare provider and enters incident.Have following steps: when the care-giver impelled each cleaning dispensing device 22 with detersive of the inflow point that is arranged on each ward 18 to execute to join detersive, the dispensing device trigger 20 by dispensing device 22 places activated described reader 12, and record is executed and joined incident.There are following steps: on the display 24 of described reader 12, show to execute and join event number and enter event number.
Preferably, described step display comprises following steps: described the executing of demonstration joined event number and the described ratio that enters event number on described display 24.Described step display preferably comprises following steps: show described ratio simultaneously, describedly enter event number and described executing joined event number.
Preferably, have following steps: described care-giver controls the lock of described reader 12 and with control described the executing of being write down by described reader 12 is joined event number, the described access that enters event number and described ratio.Preferably, there are following steps: will be described at the fixed time execute and join event number, describedly enter event number and described ratio is reset to zero.
Preferably, there are following steps: externally inquire described storer 30 in the electronics mode.Preferably, there are following steps: when the incident of entering or execute and make described reader 12 enter initiate mode when joining incident, make described reader 12 enter state of activation when described reader 12 is in described initiate mode and enters incident or execute when joining incident, and make described reader 12 enter done state when joining incident when described reader 12 is in state of activation and executes.Preferably, have following steps: owing to and enter described initiate mode according to described reader 12 and described dispensing device trigger 20 entered enable the position; And execute when described dispensing device and to make described dispensing device trigger 20 enter active position when joining incident.Preferably, there are following steps: whenever described dispensing device has when executing of opening that the beginning executes that the care-giver's who joins incident reader 12 is associated joined incident, described dispensing device trigger 20 emission keys.
The operation of preferred embodiment is now described.
The term index:
Reader 12: the hand wash events that the electronics CPU34 in the system 10, its record enter the room and be associated.Also have electronic lock A (described below) in the reader 12, it has with signalisation lock B and C makes these other locks enter the ability of enabling the position.
Lock A: be present in and be in closure state or opening in the reader 12.Opening can enable (enable-α), the operation of activation, end position.
Enable: from the state of lock after the initialize signal of electronic key.
Enable-α: the state of lock, it represents the possibility of enabling fully but indication is washed one's hands behavior not by the order under the basic model of becoming.
Activate: the state of lock after electronic key receives secondary signal.
Finish: the 3rd signal has been received by electronic key and the state of the lock that works by shut-off circuit.
Lock B and C: be embedded in the virtual or electronic lock system in soap dispensing device and the alcohol gel washing lotion dispensing device, it can operate under closure state or opening.Opening is by enabling position, active position by being in by the electronic key mechanism of the action triggers that hereinafter describes in detail, and then advances to " closing down " position and form.
Spontaneous loop: by the electronic loop that individual person's reader 12 is followed the tracks of, its utilization has unique set of cipher key at a user's reservation function (code that produces in the electronics mode).This loop allows a people before entering ward 18 and the process of washing one's hands independently afterwards, but follows the tracks of its personal behavior especially and have nothing to do in entering other people of room simultaneously.
Key: the room enters in the loop signal that produces, and it can work so that lock and advance to diverse location (engagement).Execute that to join soap or alcohol gel washing lotion and enter ward 18 by threshold crossing are the methods that produce unlike signal or key.When producing key, it serves as the signal that works between the lock in system 10.Provide unique but interim key to everyone, it follows the tracks of his/her specific activity, and no matter and be independent of the behavior of other healthcare provider that enters the room.
Radio communication: transmit the mode of his/her hand hygiene behavior to the reader 12 that is suitable for wearing by the individual.This realizes by virtual electronic lock and the cipher key system described by using REID, magnetic coupler, Bluetooth technology or other technology.Described system designs in a certain mode and plans and makes and to begin to be considered loop unlatching when being used to open the action that may select that beginning hand hygiene/room enters the loop as a people.
System 10 is the devices (utilizing REID, Bluetooth technology or other system) that will be designed to have two parts.At first, data reader (about ideally 3cm is wide/1cm height, degree of depth 5mm) is worn carefully or is attached on the employee's of hospital the pager or identification label, it is communicated by letter with second assembly (data trigger).Trigger will be installed in the room and be attached to soap or alcohol gel washing lotion dispensing device.These " triggers " will be placed on a porch (activating by the health threshold crossing) and (activate by pushing dispensing device) in the leverage of soap/alcohol gel washing lotion dispensing device.Complete loop will be referred to and enters twice hand wash events that the room once is associated with patient's meet.This ratio will reflect the best behavior in this environment, promptly meet with before the patient at every turn and respectively wash one's hands once afterwards.Described ratio can be through revising to be used for varying environment.For instance, in food service industry, complete loop will be equivalent to wash one's hands once after entering the lavatory at every turn.
Reader device will comprise little LCD display (or other display), and it will have three hurdles to indicate: the number of times of 1) always washing one's hands; 2) always enter the room number of times; 3) ratio (2: 1 or other ratio).The user can check that visually described device is to check his/her process in any time in one day.(for example, midnight) aut.eq. is reseted and will be given the chance that healthcare provider changes his/her behavior at the fixed time.The target of this device will be to permit the user with the very similar excitation of passometer being used this device as the mode of tracker and serving as enhancement/change behavior.Use the personnel of described device can select to inquire described device in the electronics mode at interval with official hour.But the data that access is stored are also in confidence to user report.The user can disclose its reader 12 of one's own accord to be used for external assessment.Can carry out the incentive award to best behavior.General purpose will be to improve to wash one's hands in accordance with property, real-time feedback is provided, authorizes to the office worker to the wearer, and finally protect from infection and save life.This will carry out under the situation that does not need the programming of extensive computations machine, thereby eliminating soft project and eliminating need be implemented electric hard wire in the ward.Described device serves as simple counter, for the user shows raw data.In addition, this system is not the external control pattern that formation is regarded as coercive usually, but will avoid setting up between the personnel that collect data and employee/office worker the antagonism relation.In some sense, the personnel of using system 10 have data and the behavior of himself.
This technology can be mainly used in the operating discipline of implementing the very important place of hand hygiene qualification.This will contain for example place of hospital, clinic or medical institutions, but also be used for restaurant and food processing industry, and may be applied to aseptic condition in the most important usually manufacturing industry of for example computer processor of production run.
System 10 is unique, because it provides real-time feedback about their hand hygiene practices to the employee.Can visually check raw data in any time in one day, and the ratio that calculates shows to their performance or grades.Show that this feedback is impelled operation correctly effectively, the promotion behavior is corrected.Described device does not need electronic component and routing network widely, does not need complicated software to analyze, and does not provide unnecessary information to the user, and the user is responsible for its behavior more.Can be very similar to and check pacemaker and in the electronics mode described device is inquired in the mode of understanding the abnormal movement/alarm between the tools for doctor home visit.Can collect and advertisement information to reflect one group of staff's aggregate performance characteristic.Can show or the transmission data to the staff, as extra anonymous feedback mechanism.For instance, can provide all doctors of hospital or all paramedives' hand hygiene characteristics to everyone video data.The individual can select to disclose its personal data to its employer of one's own accord, as with for example promote, the part of job performance assessment that bonus, discount equal excitation combine.
Example:
Andrew doctor moves towards ward 18.He pushes the lever 28 on the alcohol gel hand hygiene dispensing device near the wall that is positioned at the ward 18.This move makes lock A enter " unlatching " position from " closure " position.Specifically, it makes lock A enter " enabling " position.Lock A is an electronic lock, and it is the part of the reader 12 worn of Andrew doctor.Lock A has that three open sites " are enabled ", " activation " and " end ".Enable the initial actuating that needs first electronic key, and activate the action that needs second electronic key.Therefore, recall, the action of executing tennis partner's sanitizer by presses lever 28 is in order to " rotating first key ", and this sends it back signal the reader 12 that Andrew doctor wears again, and makes lock A be in and enable the position.Reader 12 then remains in scheduled time slot by timer 32 mechanism and enables the position.If Andrew doctor does not enter ward 18, the lock A on the reader 12 cancels " make-position " automatically so, and does not write down the loop.The loop by initial hand wash events, follow-uply enter ward 18 (initially washing one's hands five minutes in), finally wash one's hands, with leave ward 18 and form (or the acceptable versions of this theme, promptly at first enter ward 18, in the room, wash one's hands, patient is checked and uses when withdrawing from a room the alcohol gel washing lotion dispensing device on the wall to wash one's hands).Incomplete loop is meant and enters before the room and all do not wash one's hands afterwards, only washes one's hands before entering the room, or enters the room and just wash one's hands after patient is checked.
Continue above the description ... when Andrew doctor comes into room (threshold crossing), this action allows second key to activate lock A on his reader 12.Striding across threshold (this is identical with second key that activates lock A) can realize by passive RFID coupling or other method.In case activate the lock A on the reader 12 that is suitable for being worn by Andrew doctor, reader 12 just produces and lock B and the electronic coupled signal of C (key 3).Lock B is placed on the alcohol gel washing lotion dispensing device that just is positioned at outside the room or is positioned at the room, and lock C is placed in the soap dispensing device that usually is placed in the ward.In fact the signal that sends from the reader 12 that is suitable for being worn by Andrew doctor rotates key 3, and enables lock B and C by this.
At this moment, the lock A of the reader 12 that Andrew doctor wears is in active position, and lock B and C (in the room environment) are in and enable the position.Lock B and C keep enabling up to overtime or move to active position till.
Next, Andrew doctor checks patient.In case finish this action, he just a) washes one's hands with soap and water (place, pond in the room), b) joins near the alcohol gel washing lotion device that just is in outside the ward or the import and washes one's hands by executing, or c) do not wash one's hands and withdraw from a room.
If Andrew doctor washes one's hands at pond place, he is liquid taking soap by pushing lever 28 on the dispensing device.This move signals and gets back to his reader 12 and cause the signal that finishes lock A.This signal constitutes key 4.In case key 4 makes the lock A on the reader 12 enter end position, the loop is just closed and complete.The system 10 (and embedded reader 12) that is suitable for being worn by Andrew doctor will show " enter 1 time, wash one's hands ratio 2: 12 times ".If Andrew doctor finishes patient is checked that avoid pond and soap dispensing device in the room, and move towards the doorway, he can execute in this position and join the alcohol gel washing lotion so in above-mentioned plot.This action will be served as and be impelled key 4 to signal to get back to the alternative method that is suitable for the reader 12 worn by Andrew doctor, and also be used for finishing lock A.As mentioned above, if this alternative route takes place, will lock A so and be considered as closed and complete loop.System 10 will show " enter 1 time, wash one's hands ratio 2: 12 times " once more.The action that liquid soap dispensing device or alcohol gel washing lotion dispensing device place the carry out loop of closing down independently, thus reader 12 record twice wash one's hands misregistration or exaggerative value when meeting with patient and finish prevented.
Not washing one's hands if Andrew doctor withdraws from a room after meeting with patient, (wash one's hands with liquid soap in the place, pond in the room, or just be in ward 18 alcohol gel washing lotion dispensing devices outer or inflow point and wash one's hands by using), the lock A when he leaves so on his reader 12 is in active position.In addition, lock B and C (respectively in soap and gel washing lotion dispensing device) remain secured to and enable the position.When Andrew doctor withdrew from a room and stride across threshold, lock A, B and C closed down after the timer 32 machine-processed timing end separately at it.His system 10 will write down " enter 1 time, wash one's hands ratio 1: 11 time ".
If Andrew doctor does not wash one's hands with gel washing lotion dispensing device and enters the room, key 2 works and has entered the room with signaling reader 12 so.Lock A enters the open site, and its name is called enables-alpha position.Enable-alpha position indication doctor goes through the behavior of permission with different order loop.So, when Andrew doctor enters the room and executes dispense liquid soap when wash one's hands in pond place, his lock A will detect the room that is write down simultaneously and enter, and it also makes key 2 enter and enables-alpha position and be coupled and will impel his lock A to enter state of activation immediately from initiate mode with hand wash events.In other words, in case Andrew doctor's reader 12 is confirmed to enter the room and execute and join soap, his lock A just will automatically switch to the active position through recognizing that illustrates in the above-mentioned example that carries out with regular turn.In case his lock A is activated, this just is used to enable lock B and C.Lock B and C (describing as mentioned) are in soap dispensing device and the alcohol gel washing lotion dispensing device.These locks maintain to be enabled the position and finishes up to Andrew doctor patient is checked and till arbitrary dispensing device is washed one's hands.In these two kinds of actions any one will make circuit closed.
If some doctors enter the room in succession, will follow the tracks of their entering and hand wash events independently of one another with the form in the independent spontaneous loop that forms by above-mentioned same action so.When opening the beginning during each loop, the dispensing device of washing one's hands will be recycled to next electronic key (or digital code), open the unique of another series of beginning and electronic lock and key that the user is specific by this.Follow-up lock and cipher key path will allow many care-givers to enter the room and to each care-giver's self behavior and action keep the score (and not considering and do not disturb other people action).
For instance, if Andrew doctor moves towards 18 outsides, ward and pushes the alcohol gel washing lotion, the lock A on his health is enabled by key 001-1 so.Hannah doctor walks after Andrew doctor.She executes after him and joins the alcohol gel washing lotion.When she did like this, dispensing device was recycled to another key.Be alternative in the key 001-1 (enter/wash one's hands in the loop in this room) that becomes the temporary key that is used by Andrew doctor, she is given key 002-1.Another people who enters the room can receive (for example) key 003-1.Enter other doctor in room or personnel and will execute and join described device and be given other key, independently activated and their loop of self is set in the sequence.For generation like this, the digital code that key can reflect in principle in regular turn or produce at random.
Can how to have coincidence circuit in order to understand, we can continue Andrew doctor and execute the example that enters the lock A on ward 18 is enabled him by this with key 001 the reader 12 after joining the alcohol gel washing lotion.Hannah doctor and then does like this, executes and joins the gel washing lotion, and this impels alcohol gel washing lotion dispensing device to enable her lock A with the different keys that produce by presses lever 28.We will listedly as mentioned call 002 to this key.Notice that when presses lever 28, the key of Qi Shixin locked 3-5 second simultaneously before next user's press device.In this way, two suctions will can not produce extra key " signal " to obtain extra detergent gel/soap.When entering the room patient is checked, Andrew doctor's reader 12 (by triggering key 001-2) when he strides across threshold becomes activation from enabling.Hannah doctor then strides across threshold.When she did like this, her reader 12 and lock A thereof (by triggering second key, this takes place when striding across threshold) also in the same manner became active position from enabling the position.When Andrew doctor continues patient checked with Hannah doctor, they separately their the lock A on the reader all remain on active position, be in the lock B of (describing as mentioned) in soap dispensing device and the alcohol gel washing lotion dispensing device and C respectively and remain on and enable the position.More particularly, lock B and C can list sub-lock state simultaneously.Son lock is activated by everyone behavior that enters the room.In this example, Andrew doctor's action is independent of Hannah doctor and forms spontaneous loop.If check, lock B and C so and will represent two son locks of enabling that are used to follow the tracks of two doctors.If another person enters the room after washing one's hands with the alcohol gel dispensing device, lock B and C so and will register the 3rd son of enabling lock.Get back to Andrew doctor and Hannah doctor's case, when finishing when patient checked, Andrew doctor is chosen in the place, pond and washes one's hands.This action is used to finish lock A and closed his loop on his the individual reader 12.Hannah doctor selects to use the alcohol gel washing lotion dispensing device that just is in the porch, room to wash one's hands.Her lock A of this action triggers enters end position, finishes her loop by this.
System 10 is of portable form.It allows user's carried device and it is checked that action line for a change by this to obtain feedback.Described device is zero once a day its value is reset to through design.To begin every day with the new target of improving the hand hygiene qualification.System 10 can stand the electronics inquiry.Can via electromagnetic component or directly port (for example, USB) for the user's download data to understand and to check his behavior trend.Wish system 10 for portable, though make that all healthcare provider are all worn described device ideally, if only limited number can be used, they can be worn at different time by on the same group care-giver not so.For instance, can provide system 10, or can provide system 10 to all nurses in special ward to all nurses.This can carry out in the period of appointment.When wearing and use described device, the user can check their device on one day discontinuous ground.By inquiry unit, can provide summary data to the individual user.Can collect all devices, and can download cumulative data and by representing anonymous accumulation group's value used as the instrument that the personnel in the group are educated.System 10 will allow the individual to disclose its identity of one's own accord with the means as the best behavior of award.
Referring to Fig. 1:
A) stand in outside the ward 18, wear system 10, described system 10 has the electronics of carrying Lock AEmbedded reader 12;
B) doctor is near the alcohol gel washing lotion dispensing device (A.G.W.D.) outside the ward 18.He executes and joins A.G.W.D..This action (key 1) is used to make lock A to enter EnableThe position;
C) doctor enters the ward.By striding across threshold, this action via key 2 impels Lock AEnter ActivateThe position.This impels again Lock ASend signals to lock B and C (via key 3).Lock B and C are entered EnableThe position;
D) doctor checks patient;
E) doctor leaves patient, the threshold of passing by.He joins the alcohol gel washing lotion and washes one's hands by executing.This action (key 4) is used to finish the loop.
F) inspection doctor's system 10, and its demonstration: wash one's hands 2 times, enter ratio 2: 11 time.
Referring to Fig. 2:
Path 200; Wash one's hands, near room but do not enter.Enable lock A, overtime-as not write down activity;
Path 201; Outside the room, wash one's hands.Enable lock A.Stride across threshold.Activate lock A, enable lock B and C.Patient is checked.Wash one's hands in the place, pond in the room.Activate lock C, by this " end " lock A and closed-loop path.
Path 202; Do not wash one's hands and enter the room.Stride across that threshold is enabled key 2 so that lock A enter enable-α sets, indication departs from the behavior of desirable order.Stride across the threshold registration and enter the room 1 time.Go to antimicrobial soap dispensing device (A.S.D.) limit so that before patient is checked, wash one's hands.This action makes lock A enter the position of enabling with reviewing and then enters the position of activation immediately.Lock A then sends signals to lock B and C, they is entered enable the position.After patient checked, the doctor got back to the A.S.D. limit and washes one's hands.This action makes lock A enter end position and closed-loop path.
Path 203 and 204; A doctor washes one's hands at the A.G.W.D. place.Lock A on his reader 12 enters initiate mode.B doctor is at the heel, washes one's hands at the A.G.W.D. place.A and B doctor enter the room.Their lock now all is activated.Activate their lock A by unique electronic key.These keys produce by using A.G.W.D..Every doctor enters in the loop of himself.Everyone lock impels enables lock B and C.
Possible loop
Close alcohol gel washing lotion → execute and join → leave does not enter the room
Near alcohol gel washing lotion → execute join → enter → patient is checked
(a) soap dispensing device
(b) alcohol gel washing lotion
(c) do not wash one's hands and withdraw from a room
(d) soap dispensing device+alcohol gel washing lotion
Enter room → soap dispensing device → patient is checked
(a) soap dispensing device
(b) alcohol gel washing lotion
(c) do not wash one's hands and withdraw from a room
(d) soap dispensing device+alcohol gel washing lotion
Enter room → patient is checked
(a) soap dispensing device
(b) alcohol gel washing lotion
(c) do not wash one's hands and withdraw from a room
Soap dispensing device+alcohol gel washing lotion
Enter room → patient is not checked
(a) do not wash one's hands and withdraw from a room
(b) alcohol gel washing lotion
(c) soap dispensing device
(d) soap and alcohol gel washing lotion dispensing device
Close alcohol gel washing lotion → patient is not checked
(a) do not wash one's hands and withdraw from a room
(b) alcohol gel washing lotion
(c) soap dispensing device
(d) soap dispensing device and alcohol gel washing lotion
Enter room → soap dispensing device → patient is not checked
(a) do not wash one's hands and withdraw from a room
(b) alcohol gel washing lotion
(d) soap dispensing device
(e) soap dispensing device and alcohol gel washing lotion
Dispensing device will determine in the following manner which care-giver is just using dispensing device.In a single day dispensing device just is used will send quick scouting signal to the care-giver who stands in apart from the nearest place of device (that is, about 2 feet).This is used to confirm identity/electronic key of being associated with the user.Dispensing device then will receive the particular electrical sub-key of these data and issue coupling immediately.Recall, any key that maintains in " enabling " dispensing device all is by producing when the cascade of transmitting in the electronics mode that begins when the care-giver issues key first.
(each key to care-giver's issue when beginning in the loop causes transmitting unique signal of enabling dispensing device.Therefore, each dispensing device place existence is at special the enabling " sub-state " that enters the room and be published each care-giver of electronic key.Therefore, dispensing device may have many enabling " sub-state " that is associated with each care-giver's particular electrical sub-key.)
Since care-giver's reader 12 has received the key of this coupling, dispensing device will keep closing down at this special care person.Yet if other care-givers are arranged in the room, dispensing device will carry other and enable sub-state (with the as many sub-state of the number in the room) so.
When next care-giver uses dispensing device, he is with presses lever 28, and as in the plot of above describing, to send quick scouting signal from dispensing device is also only received by the individual of nearest place (2-3 foot), thereby by with care-giver's key with remain on the electronic key of enabling the position in the dispensing device and mate and discern the care-giver, and then send specific signal at its key match.In case his reader 12 receives key, his reader 12 just will advance to done state.
System 10 also can transform to follow the tracks of the wash one's hands behavior of office worker after using the lavatory.
The present invention relates to a kind of system 10 of permission one personnel control's hand hygiene qualification.System 10 comprises and is suitable for the data reader 12 worn by described personnel.System 10 comprises the inlet trigger 14 at each inlet 16 place that is arranged on the lavatory, and it activates described reader 12 and enters incident with record when the care-giver enters the lavatory.System 10 comprises the dispensing device trigger 20 that is arranged on each cleaning dispensing device 22 place with detersive in the lavatory, and it activates described reader 12 and executes with record and join incident when described care-giver impels described dispensing device 22 to execute to join detersive.Reader has display 24, and described display 24 shows to execute and joins event number and enter event number.Preferably, only may exist be associated with an incident of entering at the most one execute and join incident.
The present invention relates to a kind of method of permission one personnel control's hand hygiene qualification.Said method comprising the steps of: when described personnel entered the lavatory, the inlet trigger 14 at each inlet 16 place by being arranged on the lavatory activated data reader 12 and the record worn by described personnel and enters incident.Have following steps: impel each the cleaning dispensing device 22 with detersive that is arranged in the lavatory to execute when joining detersive described personnel, the dispensing device trigger 20 by described dispensing device 22 places activates described reader 12, and record is executed and joined incident.There are following steps: on the display 24 of described reader 12, show to execute and join event number and enter event number.
The restaurant office worker walks close to the doorway, lavatory.He is wearing the system 10 with embedded reader 12.The critical piece of reader will be called lock A, and it serves as the CPU34 that can transmit and receive signal.After entering lavatory (striding across threshold), produce and trigger or signal.This is signal or " key " of unique generation, and it is received by reader 12 or lock A.Therefore, office worker James enters the lavatory to be impelled produce electronic signal or key after striding across threshold, and it is received by reader 12 and lock A is entered enables the position.In case this thing happens, reader 12 just sends signals to and is embedded near soap dispensing device in pond or the lock B in any soap dispensing device in the lavatory.Lock B enters and enables the position.Task unique electronic signal of office worker James or key and maintain in the reader 12 that he wears entering the lavatory time-division, and transmit a signal to lock B from this reader 12, described signal is as indicated above to be entered lock B to enable the position, but in addition unique electronic signal is forwarded to lock B.In case office worker James washes one's hands on the limit, pond and executes and join soap, execute the action of joining lever 28 and advanced in the loop.Dispensing device sends the fast investigation signal to the user of nearest place (in 2 feet), and discerns his interior unique key or electronic signal of lock A.Lock B checks that then will lock B remains on the match code of enabling the position.In case this coupling takes place, just send signal to office worker James lock A on one's body from lock B, impel his lock A to move to active position.Lock A then advances to end position automatically after scheduled time slot or after leaving the lavatory and striding across threshold.The unique key signal that produces when entering the lavatory allows a plurality of personnel to enter and use the lavatory, and their activity of record in system 10, and has nothing to do in other office worker's activity.
After office worker James entered, uses facility, washes one's hands and leaves in the above-mentioned plot, system 10 was with record: enter 1 time, wash one's hands ratio 1: 11 time.
If office worker James enters the lavatory as mentioned above and (receives electronic signal or key, lock A on his reader 12 is entered enable the position), use facility but do not wash one's hands and leave the lavatory ... be in the in-house lock of soap dispensing device B (advanced to and enabled the position, had unique electronic signal key) auto-timeout in the period of setting at each office worker who enters the lavatory.In case this thing happens, system 10 is with record: enter 1 time, wash one's hands ratio 1: 00 time.
Referring to Fig. 4:
1. near the lavatory inlet
2. stride across threshold
Lock A enters " enabling " position
3a./3b. uses facility
4. wash one's hands
Executing to join to move makes lock A enter " activation " position.
5. leave the lavatory
Lock A enters " end " position
System's 10 registrations: enter 1 time, wash one's hands ratio 1: 11 time.
Although in above embodiment, describe the present invention in detail for purposes of illustration, but should be appreciated that, this type of details only is used for illustration purpose and the those skilled in the art can make variation therein under the situation that does not break away from the spirit and scope of the present invention, and the spirit and scope of the present invention are as the criterion with appended claims.

Claims (33)

1. system that allows healthcare provider monitor hand hygiene qualification, it comprises:
Be suitable for the data reader worn by healthcare provider;
Be arranged on the inlet trigger of each porch in ward, it activates described reader and enters incident with record when described care-giver enters described ward; And
Be arranged in the import in each ward or the dispensing device trigger at each the cleaning dispensing device place with detersive of inflow point, it activates described reader and executes with record and join incident when described care-giver impels described dispensing device to execute to join detersive, described reader has display, and described display shows to execute and joins event number and enter event number.
2. system according to claim 1, described the executing of wherein said display demonstration joined event number and the described ratio that enters event number.
3. system according to claim 2, wherein said display shows described ratio simultaneously, describedly enters event number and described executing joined event number.
4. system according to claim 3, wherein said reader comprises lock, and it joins event number, the described access that enter event number and described ratio with control to described the executing of described reader record by described care-giver's control.
5. system according to claim 4, wherein said dispensing device comprises lever, and described dispensing device trigger is engaged to described lever.
6. system according to claim 5, wherein said reader will be described be executed after at the fixed time and is joined event number, describedly enters event number and described ratio is reset to zero.
7. system according to claim 6, wherein said reader comprises storer, and described the executing of its storage joined event number, described event number and the described ratio of entering.
8. system according to claim 7, wherein said reader comprises timer.
9. system according to claim 8, wherein said reader comprises CPU.
10. system according to claim 9, wherein said reader is the part of label or pager.
11. system according to claim 10, wherein said trigger has transmitter and receiver.
12. system according to claim 11, wherein said reader has transmitter and receiver.
13. described storer wherein can externally be inquired in the electronics mode by system according to claim 12.
14. system according to claim 13 wherein only enters incident when described reader enters described ward.
15. system according to claim 14 wherein only may exist at the most two executing of being associated with an incident of entering to join incident.
16. system according to claim 15, wherein said reader is when the incident of entering or execute and enter initiate mode when joining incident, enter state of activation when joining incident when described reader is in described initiate mode and enters incident or execute, and enter done state when joining incident when described reader is in state of activation and executes.
17. system according to claim 16, wherein said dispensing device trigger has the position of enabling and active position; Owing to and enter described initiate mode according to described reader and enter the described position of enabling on the described dispensing device trigger; Execute the described active position that arrives when joining incident on the described dispensing device trigger when described dispensing device subsequently.
18. system according to claim 17, it comprises the excessive data reader of being worn by extra healthcare provider, and wherein each reader only writes down executing of being associated with the care-giver with described corresponding reader and joins incident.
19. system according to claim 18, wherein whenever described dispensing device have with open that the beginning executes that the care-giver's who joins incident reader is associated describedly execute when joining incident described dispensing device emission key.
20. system according to claim 17, wherein said reader and described trigger use REID to communicate with one another.
21. system according to claim 17, wherein said reader and described trigger use Bluetooth technology to communicate with one another.
22. a method that allows healthcare provider monitor hand hygiene qualification, it may further comprise the steps:
When healthcare provider entered the ward, the inlet trigger of each porch by being arranged on described ward activated the data reader of being worn by described care-giver, and record enters incident;
When described care-giver impelled each cleaning dispensing device with detersive of the inflow point that is arranged on each ward to execute to join detersive, the dispensing device trigger by described dispensing device place activated described reader, and record is executed and joined incident; And
On the display of described reader, show to execute and join event number and enter event number.
23. method according to claim 22, wherein said step display comprises following steps: described the executing of demonstration joined event number and the described ratio that enters event number on described display.
24. method according to claim 23, wherein said step display comprises following steps: show described ratio simultaneously, describedly enter event number and described executing joined event number.
25. method according to claim 24, it comprises following steps: described care-giver controls the lock of described reader and with control described the executing of being write down by described reader is joined event number, the described access that enters event number and described ratio.
26. method according to claim 25, it comprises following steps: will be described at the fixed time execute and join event number, describedly enter event number and described ratio is reset to zero.
27. method according to claim 26, it comprises following steps: externally inquire described storer in the electronics mode.
28. method according to claim 27, it comprises following steps: when the incident of entering or execute and make described reader enter initiate mode when joining incident, make described reader enter state of activation when described reader is in described initiate mode and enters incident or execute when joining incident, and make described reader enter done state when joining incident when described reader is in state of activation and executes.
29. method according to claim 28, it comprises following steps: owing to and enter described initiate mode according to described reader and described dispensing device trigger entered enable the position; And execute when described dispensing device and to make described dispensing device trigger enter active position when joining incident.
30. method according to claim 29, it comprises following steps: whenever described dispensing device have with open that the beginning executes that the care-giver's who joins incident reader is associated describedly execute when joining incident described dispensing device trigger emission key.
31. a system that allows personnel control's hand hygiene qualification, it comprises:
Be suitable for the data reader worn by described personnel;
Be arranged on the inlet trigger of each porch of lavatory, it activates described reader and enters incident with record when the care-giver enters described lavatory; And
Be arranged on the dispensing device trigger at each the cleaning dispensing device place in the described lavatory with detersive, it activates described reader and executes with record and join incident when described care-giver impels described dispensing device to execute to join detersive, described reader has display, and described display shows to execute and joins event number and enter event number.
32. system according to claim 31 wherein only may exist at the most executing of being associated with an incident of entering to join incident.
33. a method that allows personnel control's hand hygiene qualification, it may further comprise the steps:
When described personnel entered the lavatory, the inlet trigger of each porch by being arranged on described lavatory activated the data reader of being worn by described personnel, and record enters incident;
Execute when joining detersive when described personnel impel each the cleaning dispensing device with detersive that is arranged in the described lavatory, the dispensing device trigger by described dispensing device place activates described reader, and record is executed and joined incident; And
On the display of described reader, show to execute and join event number and enter event number.
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